A nurse is caring for a 30-year-old client who was brought to the emergency department (ED).

Exhibits

The nurse should determine the assessment findings are consistent with which of the following disease processes?

For each assessment finding, click to specify if the finding is consistent with bacterial meningitis or encephalitis. Each finding may support more than 1 disease process.

WBC count in CSF

Muscle weakness

Altered level of consciousness

Kernig sign result

Body temperature at 2105

Answer and Explanation

The Correct Answer is {"A":{"answers":"A,B"},"B":{"answers":"A,B"},"C":{"answers":"A,B"},"D":{"answers":"A"},"E":{"answers":"A,B"}}

A high white blood cell (WBC) count in cerebrospinal fluid (CSF) is more commonly associated with bacterial meningitis, characterized by a high neutrophil count, low glucose, and high protein levels. it is also seen in encephalitis and reflects the individual cell lines that are affected.

Muscle weakness and altered levels of consciousness can occur in both conditions but are more prominent in encephalitis, which often presents with focal neurological deficits and seizures. The

Kernig sign, a classical sign of meningitis, is a physical examination finding that indicates irritation of the meninges and supports a diagnosis of bacterial meningitis when positive.

An elevated body temperature is common in bacterial meningitis, but it is not exclusive and can be observed in encephalitis as well.

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Free Nursing Study Resources

Correct Answer is A

Explanation

A. Levothyroxine is used to replace thyroid hormone in hypothyroidism. Symptoms like tremors, nervousness, and insomnia can indicate that the dose is too high, suggesting possible hyperthyroidism.
B. Weight loss alone is not a primary indicator for adjusting levothyroxine. It is more important to monitor for symptoms of overdosage, such as those described in option A.
C. Levothyroxine does not increase the risk of bleeding. Monitoring is typically focused on thyroid hormone levels rather than bleeding risks.
D. Levothyroxine increases thyroid hormone levels, not decreases them. It is used to supplement the deficient hormone in hypothyroidism.

A. "This medication will increase the client's heart rate." B. "This medication will decrease the client's blood pressure." C. "This medication will decrease the client's urine specific gravity." D. "This medication will decrease the client's urine output."

Correct Answer is D

Explanation

A. Vasopressin does not typically increase the client's heart rate; its primary effect is on the kidneys and urine output.
B. Vasopressin generally increases blood pressure by promoting vasoconstriction, not decreases it.
C. Vasopressin will increase, not decrease, urine specific gravity by reducing urine output and concentrating the urine.
D. Vasopressin acts to decrease urine output by increasing water reabsorption in the kidneys, which helps manage diabetes insipidus.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing education about levothyroxine to a client diagnosed with primary hypothyroidism. Which of the following statements should the nurse use when teaching the client?

Correct Answer is A

Explanation

A nurse is teaching a student nurse about the effects of vasopressin that is prescribed for a client with diabetes insipidus. Which statement by the student nurse indicates an understanding of the teaching?

Correct Answer is D

Explanation

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